Herpes queations

[PeterA74]

About 2 weeks ago, I received unprotected analingus and oral sex. About 6 days after the event, I developed a bad case of hemorrhoids and noticed what looks like the puss filled bumps in a small patch on my buttocks. I did NOT see any bumps, blister, etc on my penis or at the base of my penis.  

I went to my normal doctor. She said that I did have hemorrhoids, she also said the area around my anus was raw. She looked at bumps on my buttocks, and said it did not look like HSV, but more like shingles. I did have chickenpox when I was a kid, so it is a possibility.  

She put me on a topical steroid cream and an oral antibiotic. She also did a swab test which I am waiting on the results.

My questions, if it is HSV, would it most likely be HSV-1, since the source was from the mouth? I understand people can have HSV-2 in the mouth. However, isn't it a very low percentage of people infected with HSV-2 in the mouth?

Also, I am little confused about the difference between oral herpes, genital herpes and how they relate to HSV-1 and HSV-2. Is the use the terms "oral herpes" and "genital herpes" to describe the place on the body where the infection is and has no relation to what kind of HSV virus it is.

Thanks!

[Life360_Dave]

If no lip contact was made you had no risk.

[PeterA74]

Thank you for your reply and helping understanding the difference in HSV-1 and HSV-2.

I do have a followup question to your reply.

You stated:
"If the buttock lesions are HSV, I'm inclined to doubt you caught it from your recent sexual exposure. That sounds more like recurrence of a prior infection."

Why do you doubt I caught it from my last sexual exposure? Is this a "low risk" exposure?

I have never shown any kind of symptom prior to this event. Isn't the first breakout, typically the worst?

Again thank you for your reply.

[PeterA74]

Yes the licking was with the tongue.

I might have miss spoke about the white puss filled. There was a red skin splotch, roughly 3/4" x 3/4" in a rough circle. In the area of the red splotch, where some bumps. The bumps, where circle in shape, with white coloring on the top. The tops where flat.

I don't know what the color of the "puss" was. They where there for about 4 days, and now they are gone.  I never did see if they "popped" or just went away.

The red splotch is still there. There is some very slight pain where the splotch is, but no itching now or in the past.

Thank you for your reply.

[Life360_Dave]

Hi, first if all if the person that licked your anus did not have any lip sore at the time you can pretty much rule out herpes as shedding does not overly occur.
And also i assume the licking was performed with the tongue not the lips and herpes sores are not white puss filled.
Does it appear your having a anal outbreak? No it does not. But do let us know your test results.

[HowardH]

I would just say that your symptoms seem consistent with either herpes simplex (HSV) or shingles, although the relatively small cluster suggests HSV. The pending swab test should tell the story. Until that result is available, I suggest no speculation, but to wait and deal with whichever diagnosis is confirmed.

If the buttock lesions are HSV, I'm inclined to doubt you caught it from your recent sexual exposure. That sounds more like recurrence of a prior infection. In that case, I would suspect HSV2 over HSV1.

The numbers refer to the separate viruses, HSV1 and HSV2. Either virus can infect either the oral or genital-anal area. However, HSV2 rarely infects the mouth, although HSV1 often infects both areas of the body.

Please return to let us know the test result and we'll take it from there.